113例新生儿胎膜早破并发早产预后分析  

Prognosis of 113 newborns because of premature rupture of membranes complicating with premature delivery.

作　　者：陶春莲[1] 罗丽莉[1] 徐新[1] 陈惠英[1] 曾梓珊[1] 

机构地区：[1]汕头大学医学院第一附属医院妇产科,广东省汕头市515041

出　　处：《中国医药》2007年第10期628-629,共2页China Medicine

摘　　要：目的探讨胎膜早破并发早产不同胎龄、孕28～34^(+6)周不同潜伏期、不同分娩方式对新生儿的影响。方法对我院2003年1月至2005年6月胎膜早破并发早产113例新生儿并发症进行回顾性分析。结果28～34^(+6)周新生儿室息、新生儿肺透明膜病、及缺氧缺血性脑病高于35～36^(+6)周(P<0.05);28～34^(+6)周潜伏期<72 h新生儿窒息、新生儿缺氧缺血性脑病、新生儿死亡高于潜伏期>72 h组(P<0.05);臀牵引与其它分娩方式在出现新生儿并发症方面比较有统计学意义(P<0.05)结论对于胎膜早破不足35用者均应使用单疗程激素治疗,以减少早产儿并发症、降低新生儿病死率。若为臀位,选择剖宫产对胎儿较为有利。Objective To study the influence of premature delivery in different gestational weeks, 28 - 34^＋6 incubation period and delivery modes on newborn because of premature rupture of membranes （PROM）. Methods A total of 113 newborns in PROM complicating with premature from June in 2005 to January in 2003 were retrospectively analyzed. Results The attack rate of asphyxia, hyaline membrane disease and hypoxic ischemic encephalopathy of newborn in 28 - 34^＋6 weeks group was remarkably higher than 35 - 36^＋6 weeks group （ P 〈 0. 05）. In 28 - 34^＋6 weeks group , neonatal asphyxia, hypoxic ischemic encephalopathy and neonatal death were more higher if incubation period less than 72h （ P 〈 0. 05 ） ; breech extraction group had significant difference in complications comparing with other delivery modes （P 〈 0. 05）. Conclusion With gestational weeks less than 35, a course of hormone treatment with PROM is efficient in reducing premature infant complication and newborn mortality. Fetal position is breech presentation; uterine-incision delivery is more advantageous to fetus.

关 键 词：胎膜早破 早产 新生儿 

分 类 号：R714.4[医药卫生—妇产科学]